Provider Demographics
NPI:1972866291
Name:FRANJUL DIAZ, RAFAEL EUDARDO (MD)
Entity Type:Individual
Prefix:DR
First Name:RAFAEL
Middle Name:EUDARDO
Last Name:FRANJUL DIAZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4145 SUN N LAKE BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:FL
Mailing Address - Zip Code:33872-2131
Mailing Address - Country:US
Mailing Address - Phone:863-546-0030
Mailing Address - Fax:
Practice Address - Street 1:4145 SUN N LAKE BLVD STE A
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33872-2131
Practice Address - Country:US
Practice Address - Phone:863-546-0030
Practice Address - Fax:702-369-3664
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-21
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV17181207RN0300X
390200000X
FLME148282207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program